Impact of Diabetes on Physical Function in Older People

OBJECTIVE - To explore the nature of functional impairment in older people With diabetes. RESEARCH DESIGN AND METHODS; - A population-based case-control study With detailed assessment of diabetes and functional status was Undertaken. RESULTS - Altogether, 403 case subjects and 403 matched control subjects were studied (median age 75 years, 51% female). Subjects, with diabetes had more comorbidities than control subjects (mean 2.5 vs. 1.9, P < 0.0001) and were more likely to have severe functional impairment (4 vs. 1%, Barthel score <5, P < 0.001), Health status pertaining to physical function was reduced in case subjects (SF36 60 vs. 40, P < 0.0001). In a multivariate model controlling for age, hypertension, cerebrovascular disease, chronic obstructive pulmonary disease, cancer, osteoardintis, and dementia, diabetes remained significantly associated with mobility limitation (odds ratio 2.1, P < 0.001). CONCLUSIONS - Older people with diabetes have considerable functional impairment associated with reduced health status. This Population may benefit from comprehensive geriatric assessment and tailored diabetes management.